Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.22 / $373.22 / $933.05	Facility		$373.22	$373.22	$933.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.22 / $566.33 / $812.65	Professional		$373.22	$566.33	$812.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.72 / $992.29 / $1,280.13	Facility		$831.72	$992.29	$1,280.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.97 / $1,986.46 / $6,226.01	Facility		$843.97	$1,986.46	$6,226.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.98 / $514.98 / $514.98	Professional		$514.98	$514.98	$514.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,047.99	Professional		$100.00	$200.00	$1,047.99
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.19 / $738.08 / $1,314.74	Professional		$583.19	$738.08	$1,314.74